Case 2
A 63-year-old male with severe aortic stenosis underwent AVR using a 23
mm, second-generation Trifecta valve in March 2018 but, two years later,
was urgently admitted with acute heart failure due to severe AR and
visible bilateral pulmonary congestion on X-ray (Fig.2). Blood gas
analysis revealed acidosis-induced multiple organ failure and
extracorporeal membrane oxygenation resuscitation was necessary for
cardiogenic shock and loss of consciousness. An urgent AVR (21-mm
Inspiris Resilia aortic valve) was performed. Two leaflet detachments
were observed at the bottom of the left coronary cusp and parastent of
the non-coronary cusp (fig.3). The patient died on the third
postoperative day due to multiple organ failure.